My coumadin clinic also advises to adjust the meds around the diet. Then just be as consistent as possible to keep from having the dose changed. I have several lists as mentioned here, never notices blueberries or soy. Ive noticed my INR has changed alot since trying to be healthier.
Fitness Minutes: (1,770) Posts: 295 2/2/13 2:10 A
I eat a lot of foods high in Vitamin K, but I was taught when I first went on to Coumadin, that Vitamin K affects the clotting time, but do not stop eating foods high in Vitamin K. Instead just keep eating them as I always do, and the Coumadin dose could then be adjusted around that. I have been on Coumadin for over 13 years when I was first Diagnosed with Protein S Deficiency, and my INR is checked evry month at least. It has rarely needed to be adjusted, and I have found it has needed adjusted more often when the Pharmacy changes their Manufacturer for the Coumadin they give me.
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current weight: 371.0
Fitness Minutes: (11,425) Posts: 178 2/19/12 8:01 A
I use spark people for my husband. He had a car accident 2 years ago and is still trying to use his hands. He is on cumadin. The first year was terrible. No greens, very little vegetables. A new hemotologist told him to eat whatever he likes and she would adjust his medication to his INR's. His potassium/K average between 5000 and 7000 a day. His medication has not been adjusted in over 2 months. The SP nutrition guide has helped us enormously to maintain his calorie intake, his sodium intake and keep the K levels steady. Check with your doctor to see if this is possible for you. That way you can have the best of both worlds.
I have a coumadin clinic, full of people to help manage my vitamin K. Not counting surgeries, my levels have been consistent for over a year. I am careful to monitor my spinach and eat a little every day. I don't drink too much wine. Cauliflower is also a vitamin K rich food. I can eat greens etc. as long as it's monitored. My blood is tested every 4-5 weeks.
I actually control my coumadin levels with my vitamin K rich foods. My dr is very into natural stuff and she would prefer that I keep my greens consitent so that my coumadin dose does not have to change. I, literally, eat greens every other day whether it is brocolli, spinach, or salad greens (fresh spinach or romaine or even fresh green leaf). Of course, I get my INR checked every 10-14 days, but my coumadin dose hasn't changed for 6 months bc I am consistent with my greens. I also tried turnip greens, never thought I would like those, but with some crumbled bacon on top it is pretty good.
Two things that are very high in vitamin K are blueberries and cranberries, also hummus (garbonzo beans). My doctor told me because I was really having a hard time giving up the greens that she would rather me be consistent with the vitamen k foods, don't eliminate everything green because there are too many good beneifts to the body, and she would adjust my coumadin to fit my diet. So I have found that I alow myself a low K green food daily such as green beans, zuchinni, a small 1 cup green salad (made with iceberg lettuce) and one high food such as 1/2 c. brocolli, asparagus, etc. I try to stay away from cooked spinach because it is weigh to high in K and when cooked a 1/2 c. is a lot of spinach. The above has helped me have some sanity regarding the vit K foods. I am not very happy with the medical professions support of the dietary issues surrounding being on Coumadin. I had to do all my research myself. The number 1 thing is consistency in your diet, to keep your numbers consistent. And, if you are struggling to lose weight you really need to able to have salads to help you. Any dietary changes you make, talk to MD first so you can have the correct monitoring. Most doctors would love to help you on this.
I know that soy is so hard to stay away from, because it's in basically in every processed food you can imagine. If there are things you know about certain foods that affect your PT/INR, list them here.
Edited by: ADOLLGENER at: 2/11/2009 (13:40)
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